Purpose:To describe the experience of internal qigong practice in service members diagnosed with mild traumatic brain injury (mTBI).
Theoretical Framework:The study used qualitative descriptive phenomenological methods originally described by Husserl and later refined by Giorgi.
Methodology:Participants were interviewed about their experiences while learning qigong to determine their level of interest, benefits, and/or adverse effects; ease of learning/performing the routine; and any barriers to practice.Sample: Six service members with mTBI receiving outpatient neurorehabilitation at the Defense and Veterans Brain Injury Center-Charlottesville Rehabilitation Center.Intervention: Participants learned Reflective Exercise Qigong, a form of qigong developed specifically to require less complex movement and balance than most forms of qigong, making it ideal for those with potential coordination and balance issues.Data Collection: Semistructured interviews took place after four weeks of formal qigong instruction, then again after the subjects completed eight weeks. Interview data were analyzed with phenomenological methods described by Giorgi.Results: Four themes emerged from the interview data: "the physical experience of qigong," "regaining control," "no pain, a lot of gain," and "barriers to qigong practice." Participants offered examples of how qigong enabled them to control refractory symptoms after mTBI while decreasing reliance on pharmacotherapy. All agreed that qigong was uniquely conducive to the disciplined mindset of military service members and that the simplicity of Reflective Exercise qigong, compared with similar modalities such as tai chi and yoga, was well suited to individuals with decreased balance, cognition, and memory related to mTBI.
Key words:Mild traumatic brain injury, mTBI, qigong, reflective exercise, phenomenology, military (Explore 2013; 9:142-149. Published by Elsevier Inc.) INTRODUCTION Traumatic brain injury (TBI) is a topic for which its relevance cannot be overstated. Journals, newspapers, magazines, and Web sites reveal new insights and information on the significance of TBI and concussions on a near-daily basis as it pertains to the populations of youth and professional athletes as well as military service members. Studies report that the prevalence of TBI in service members returning from deployment in either Iraq or Afghanistan is as great as 22.8% 1 -a rate for TBI that has caused a call to arms in the military community.It is estimated that 70% of all recent combat-related injuries are the result of a blast 2 and that approximately 60% of these blast exposures may result in a brain injury. 3 The vast majority of battle-related TBIs are mild in nature and may result in symptoms such as headache, depression, memory loss, sleep disturbances, personality changes, anger, communication disorders, cognitive deficits, vestibular disorders, and tinnitus.